宫颈锥切术诊断宫颈上皮内瘤样变的价值  

Evaluation of Cervical Conization on Diagnosis and Treatment of Cervical Intraepithelial Neoplasia

作　　者：徐红 

机构地区：[1]浙江桐乡市第一人民医院,浙江桐乡314500

出　　处：《中国现代医生》2011年第10期144-145,共2页China Modern Doctor

摘　　要：目的探讨宫颈锥切术在宫颈上皮内瘤样变（CIN）诊断及治疗中的价值。方法收集2007年7月～2009年2月同时做细胞学检查、阴道镜多点活检及宫颈锥切术的患者52例作为研究对象，采用自身对照法对比研究宫颈锥切术和阴道镜多点活检的病检结果的差异。结果宫颈锥切术和阴道镜下多点活检的病理符合者33例（63．4％），不符合者19例（36．5％）；宫颈锥切术后病理诊断加重9例（15．3％）。宫颈锥切术的主要并发症为出血，短期随访未发现复发病例。结论宫颈锥切术既是一种明确诊断、决定下一步治疗方案的诊断方法，又是一种有效的治疗手段，在宫颈上皮内瘤样变具有重要价值，不能被阴道镜多点活检所取代。Objective To evaluate the value of cervical conization on diagnosis and treatment of cervical intraepithelial neoplasia （CIN）. Methods Fifty-two patients with cervical intraepithelial neoplasia diagnosed at our hospital from Jul 2007 to Feb 2009 were retrospectively and compared to pathology between cervical conization and colposcopic multiples biopsies. Resulta Of the 52 patients, there was a correlarion in pathology cervical conization and colposcopic multiples biopsiesi in 33 eases（63.4%）,but there was not much correspondence between two methods above mentioned in 19 cases （36.5%）.The pathological grade OA ultimate diagnosis after cervical conization increased in 9cases （17.3%）.The major complication of cervical conization was hemorrhage. Conclusion The cervical conizatian can not instead of colposcopic multiple biopsies, It is very important in diagnosis and treatment of cervical intraepithelial neoplasia（CIN ） .

关 键 词：宫颈上皮内瘤样变 宫颈锥切术 阴道镜下活检 

分 类 号：R711.74[医药卫生—妇产科学]